Iris Ann Toribio, PHARMD

Individual provider Active NPI Pharmacist · San Felipe Pueblo, NM

NPI 1073391389 · NPPES record last updated Sep 18, 2023

Key facts

NPI
1073391389
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
RP00009418 (NM)
Practice address
3 Cedar Street
San Felipe Pueblo, NM 87001
Phone
(505) 867-5485
NPI assigned
Sep 18, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP00009418NMMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP00009418 NM Yes

Addresses

Primary practice location

3 Cedar Street
San Felipe Pueblo, NM 87001

Mailing address

153 Northeast Dr
Zia Pueblo, NM 87053-6017
Phone (505) 867-5485

Other providers in San Felipe Pueblo, NM

All providers in San Felipe Pueblo, NM · Pharmacist in New Mexico

Sources for this page

Verify at the official NPI Registry.